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NPI Code Detail

MEDICARE: ELIZABETH S TRINER R.D.

MEDICARE: ELIZABETH S TRINER R.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered DietitianDX2631MD

General Provider Information

NPI Number : 1174527634
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH S TRINER R.D.
Provider Business Mailing Address
First Line : 1225 MARTHA CUSTIS DR
Second Line : UNIT 409
City : ALEXANDRIA
State : VA
Zip : 22302-2000
Country : US
Telephone Number : 703-717-9945
Fax Number :
Provider Business Practice Location Address
First Line : 1225 MARTHA CUSTIS DR
Second Line : UNIT 409
City : ALEXANDRIA
State : VA
Zip : 22302-2000
Country : US
Telephone Number : 703-717-9945
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2005
Last Update Date : 07/08/2007

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